胸部小切口心脏不停跳心内直视手术

目的介绍胸部小切口心脏不停跳心内直视手术。方法自１９９５年３月至１９９７年６月,经腋下及腋前外小切口在常温体外循环、心脏不停跳下进行心内直视手术３４例,其中房间隔缺损１６例、室间隔缺损１４例、二尖瓣关闭不全２例、右冠状动脉右室瘘及三尖瓣下移畸形各１例。结果全组平均体外循环时间２２５４分钟,术后恢复良好,无栓塞、心律失常及脑部并发症。术后住院时间８０±２２天。随访２～２６个月,均能参加正常活动,无残余分流和杂音。结论胸部小切口心脏不停跳心内直视手术创伤小、恢复快、简便、安全、美容效果好

Intracardiac operations performed in beating heart through mini-thoracotomy in 34 patients

OBJECTIVE: To introduce the technique of intracardiac operations performed in beating heart through mini-thoracotomy. METHOD: >From March 1995 to June 1997, intracardiac operations were performed in beating heart through right subaxillary anterolateral mini-thoracotomy with normothermic extracorporeal circulation in 34 patients. 16 patients had atrial septal defect, 14 ventricular septal defect, 2 mitral insufficiency, 1 right coronary artery-right ventricular fistula, and 1 Ebstein's anomaly. RESULT: The mean cardiopulmonary bypass time was 22.54 minutes. There were no embolism, arrhythmia and cerebral complications. Postoperative hospital stay was 8.0 +/- 2.2 days. All the patients had no heart murmur and residual shunt, and enjoyed a full range of physical activities in a follow-up of 2 to 26 months. CONCLUSION: Intracardiac operations performed in beating heart through right subaxillary anterolateral mini-thoracotomy appears to be less invasive, simple, safe and cosmetic.